Susan Morse
The FTC got an injunction, pending an appeal, in a process likely to take two years.
The increase counteracts some of the financial uncertainty caused by the California state budget deficit, CalOptima says.
Previous heat domes increased hospital utilization and ER visits. Heat is deemed the leading weather-related cause of death.
AHIP panelist Terry Douglas of Surescripts talks about what this means for payers, providers, pharma and others.
CMS has paid over $2.5 billion to Part A hospitals and more than $717 million to Part B physicians, suppliers and others.
CertifyOS founder and CEO Anshul Rathi engineered a database of providers for payers.
System access was gained via a worker who accidentally downloaded a malicious file, according to the health system.
The decision comes after CMS lost two court cases, but the agency says it reserves the right to appeal.
Because of increasing use of hospital services, growth also accelerated in 2023 for nearly all payers, says Office of the Actuary.
CMS has been ordered to redetermine the star ratings, which Elevance says should be higher.